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Gwendolyn Washington

NPI 1225295918 · on the registry since 2008 · sole proprietor

Practice

Address
8050 Stillmist Dr
Fairburn, GA 30213
Phone
(910) 200-4840

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Also registered as
235Z00000X
314000000X
Licence states on file
NC, GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-06-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia